Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.44 / $261.58 / $1,192.27	Facility		$245.44	$261.58	$1,192.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $245.44 / $245.44	Professional		$245.44	$245.44	$245.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.30 / $193.61 / $1,035.92	Facility		$138.30	$193.61	$1,035.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $335.34 / $401.77	Professional		$335.34	$335.34	$401.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $165.21 / $234.05	Professional		$165.21	$165.21	$234.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $115.65 / $633.30	Professional		$96.37	$115.65	$633.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $165.21 / $165.21	Professional		$165.21	$165.21	$165.21